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Dystrophin Gene Deletion And Duplication Test

North Dakota rates for HCPCS 81161

A laboratory test on a blood sample that checks the dystrophin gene for missing or duplicated sections. Changes of this kind are the usual cause of Duchenne and Becker muscular dystrophy, muscle-weakening conditions that mainly affect boys.

Rates data updated July 2026.

How much does Dystrophin Gene Deletion And Duplication Test cost?

$427

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $427 for this service. Most negotiated rates run $263 to $562.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $200 · 10th to 90th $195 to $501Professionalmedian $479 · 10th to 90th $195 to $646
$100$200$500facility $200professional $479

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$831.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$213.80
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$165.96
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$165.96
Typical High
$426.58

Where North Dakota sits

The same service costs 4.0 times more in Vermont than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Dakota· 3rd of 51

$427

VT $832DC $209

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.